Condition

Rotator Cuff Tear

«Core answer summary» slot — content in preparation.

Understanding the condition

«Understanding the condition (definition, symptoms, epidemiology, stages, absolute surgical indications)» slot — content in preparation.

The SART view: why this happens

«The SART view (the underlying cause behind the presentation)» slot — content in preparation.

Surgery and SART: complementary, not competing

«How surgery and SART complement each other» slot — content in preparation.

Research evidence

These are the evidence candidates assigned to this topic. The citations to be used are finalised by the author when the page is published.

  • EV-008★★★L3 · Retrospective cohort / case-control / cross-sectional

    The thorax and posture sit upstream of shoulder pathology

    Patients with subacromial impingement syndrome show restricted thoracic extension and a scapula positioned in greater anterior tilt, protraction and downward rotation (case–control study, 108 participants).

    PMC9875974 · PMC9875974

    Limitation — Bibliographic details still need to be verified.

  • EV-009★★★L3 · Retrospective cohort / case-control / cross-sectionalfoundational

    Scapular dyskinesis is associated with a broad range of shoulder disorders

    Abnormal scapular position and movement (scapular dyskinesis) is associated with impingement, rotator cuff disease, instability and adhesive capsulitis, and accompanies most shoulder injuries.

    Ludewig PM; Kibler WB (2009) · Ludewig PM & Reinold(JOSPT 2009); Kibler WB(2012)

    Limitation — Bibliographic details still need to be verified.

  • EV-027★★L4 · Cadaveric / biomechanical model / basic experimentfoundational

    The scapula is the foundation of shoulder function, and scapular dyskinesis accompanies shoulder pathology broadly

    Established the concept of scapular dyskinesis, with the scapula as the stable base for humeral movement. Abnormal scapular position and rhythm accompany impingement, rotator cuff disease and instability, pointing to restoration of scapulo-thoracic alignment rather than local strengthening.

    Kibler WB · The role of the scapula in athletic shoulder function

  • EV-039L5 · Expert opinion / classical theory / mechanistic hypothesisfoundational

    Selective tissue tension testing differentiates the painful tissue

    Combining active, passive and resisted testing differentiates contractile tissue (muscle and tendon) from non-contractile tissue (ligament and capsule).

    Cyriax J (1954) · Textbook of Orthopaedic Medicine